MEDICARE: EMILY KATHLEEN SCHINDLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	2017027646	MO
2	363LF0000X	Family Nurse Practitioner	33292	TN

General Provider Information

NPI Number	:	1548973696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY KATHLEEN SCHINDLER

Provider Business Mailing Address
First Line	:	5307A INDIANA AVE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2156
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 REN MAR DR STE 100
Second Line	:
City	:	PLEASANT VIEW
State	:	TN
Zip	:	37146-3723
Country	:	US
Telephone Number	:	615-746-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2023
Last Update Date	:	01/29/2023

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